Individual
PAMELA FLORES FELISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-5204
Mailing address
2640 SILVERTHORNE ST, FAIRFIELD, CA 94533-7176
(707) 366-2160
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
95233855
CA
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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